DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS RICHARD MICHAEL BALKCOM, LPC

Active Sole Proprietor

Counselor · BROOKHAVEN, MS

Registration Details

NPI Number
1457570939
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2007 (18.993264224301 yrs)
Last Updated
Jul 8, 2007
License
1181 (MS)
Sole Proprietor
Yes

Practice Information

Address
1107 S JACKSON ST
BROOKHAVEN, MS, 396014609
Browse MS providers · Browse ZIP 39601
Phone
6018331507
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in BROOKHAVEN, MS

Name Credential NPI
KATRESSIA ANTWANETTE WILSON 1831713882
JU'DAIJAH BANKS 1265040992
EARLISA THOMPSON 1477150126
KRISTINA WALLACE MASON 1689250896
DARLENE MOORE 1689344723
JACQUELINE MICHELLE THOMAS 1316644016
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.